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KMID : 1048120190080010041
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International Journal of Gastrointestinal Intervention
2019 Volume.8 No. 1 p.41 ~ p.44
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Percutaneous-transhepatic creation of a bilioenteric neoanastomosis in a patient with bile duct injury using cone-beam computed tomography
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Wnuk Nathan
Pabon-Martinez Ana Maria
Mahvash Armeen
Chintalapani Gouthami
Aloia Thomas A.
Odisio Bruno C.
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Abstract
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We describe the creation of a percutaneous transhepatic bilioenteric neoanastomosis with the aid of cone-beam computed tomography (CBCT) in a patient suffering from a complicated bile leak after extensive hepatobiliary surgery. Access to the afferent bowel limb was safely performed in a single-stick manner via transhepatic approach with the aid of real-time navigation fluoroscopic imaging generated by CBCT arteriography. CBCT confirmed access of the afferent limb and absence of peri-anastomotic vessel damage, allowing the successful creation of a bilioenteric neoanastomosis, resolving the patient’s biliary leak. The patient is alive and asymptomatic at 12-month follow-up, demonstrating patency of the percutaneous bilioenteric neoanastomosis.
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KEYWORD
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Biliary intervention, Bilioenteric neoanastomosis, Cone-beam computed tomography, Fusion imaging, Percutaneous intervention
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